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Organization
NGA VAN PHAM, M.D, INC
Active
Organization
NGA VAN PHAM, M.D, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NGA VAN PHAM M.D (PRESIDENT)
(408) 532-0105
Entity
Organization
Contact information
Practice address
1569 LEXANN AVE, SUITE 112, SAN JOSE, CA 95121-1794
(408) 532-0105
(408) 532-0106
Mailing address
1569 LEXANN AVE, SUITE 112, SAN JOSE, CA 95121-1794
(408) 532-0105
(408) 532-0106
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A69545
CA
Other
Enumeration date
09/26/2007
Last updated
01/07/2010
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